Individual
MR. MARK EDWARD FLATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2270 NW OVERTON ST, PORTLAND, OR 97210-2927
(503) 241-6051
Mailing address
2087 NW OVERTON ST, APT 11, PORTLAND, OR 97209-1660
(503) 209-8197
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
09/11/2025
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